Urinary incontinence (UI) is a common condition in women, also found in teenage girls and young nulligestous women.


Objective: To determine the Urinary incontinence frequency  in adolescent girls and young nulligest women.

This study was carried out in an urban and rural society among schoolchildren and nulligest students. It was based on a valid questionnaire that we distributed to teenage students and young nulligest women between 14 and 30 years old. This questionnaire including socio-demographic characteristics, some interest clinical data, urinary incontinence predisposing factors , other types of questions and additional information.
UI diagnosis:
The diagnosis of UI was made on the basis of 6 questions (Q1 to Q6) of question number 20 of the questionnaire (appendix 1). The first 3 questions, Q1 to Q3, related to the stress urinary incontinence; the last 3 questions, Q4 to Q6, were for UI by urgency.
Each question had 3  answers and each answer was marked with 0 or 1 point. The sum of response odds constituted a score with values varying from 0 to 6 points.
UI was defined by a score of at least 1 point. The stress urinary incontinence was selected for the answers to questions Q1, Q2 and Q3 with a score of at least 1 point, but a score of 0 point for questions Q4, Q5 and Q6. Conversely, UI by urgency was retained for a score of 0 point for questions Q1, Q2 and Q3, with a score of at least 1 point for questions Q4, Q5 and Q6. The mixed UI was defined by a score differing from 0 for both questions Q1, Q2 and Q3 and for questions Q4, Q5 and Q6.
Statistical analyzes:
After data collection; an initial quality control was carried out to ensure the completeness, accuracy and reliability of the data. A second consistency check of each sheet was carried out to report corrections to some inconsistencies observed in order to guarantee results validity.
The data processing was carried out in several stages: manual examination of the questionnaires; Data entry, purification and encoding in Excel 2010 and analyzes were performed on IBM SPSS for Windows version 22.0. The data was presented in the form of tables and figures.
Descriptive analyzes were the mean and standard deviation for Gaussian-distributed quantitative data and the relative (%) and absolute (n) proportions for categorical or qualitative data.
Pearson's chi-square test or exact file as the case may be was carried out to compare the percentages and the Student test to compare the means.
Factors associated with UI were investigated by the logistic regression test with odd ratio (OR) calculation to help determine the degree of association. For all tests performed the p-value <0.05 was the threshold of statistical significance.
2.4. Ethics
The rules of ethics were respected. Confidentiality was guaranteed by the anonymous nature of the investigation. We got the approval of the local ethics committee.

we collected 1002 files. The average age of the interviewees was 19.8 ± 3.6; 25.6% of the sample reported urinary incontinence. The estimated urinary incontinence subtypes incidence  was 9.6% for urge urinary incontinence; 8.5% mixed urinary incontinence, and 7.5% for stress urinary incontinence. In multivariate analysis, age between 14-17 years (ORa 2.26 95% CI: 1.81-6.33, p = 0.012), overweight (ORa 2.59 95% CI: 1.60-5.31 , p = 0.004), obesity (ORa 5.07 95% CI: 2.37-10.86, p <0.001), anxiety (ORa 3.35 95% CI: 1.94-5.93, p = 0.010) and urinary tract infection (ORa 5.44 95% CI: 3.24-9.11, p <0.001) were the factors independently associated with UI. On the other hand, being a student reduced the risk of UI by 3 (ORa 0.36 95% CI: 0.22-0.60, p <0.001).

Obesity, overweight, residence in rural area, anxiety, defecating difficulty, urinary tract infection and physical inactivy had a relation with urinary incontinence of the respondents.
On the other hand, being a student reduced the risk of urinary incontinence by 3 (ORa 0.36 95% CI: 0.22-0.60, p <0.001).

In a sample of young nulligest women, urinary incontinence was common and associated with risk factors such as anxiety, urinary tract infection, overweight, obesity, and age between 14 and 17, but a prevention program can be offered to women because of their young age. More detailed analyzes are needed to better assess the prevalence of urinary incontinence and risk factors in young nulligest women.

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Bardino M, Di Martino M1, Ricci E2, Parazzini F3. Frequency and Determinants of Urinary Incontinence in Adolescent and Young Nulliparous Women. J Pediatr Adolesc Gynecol. 2015 Dec;28(6):462-70. doi: 10.1016/j.jpag.2015.01.003. Epub 2015 Jan 7.